Henry J. Wilkins Memorial Educational Scholarship

Eligibility Requirements:

  1. Be planning to pursue a degree in History, Historic Preservation, or Journalism
  2. Have been a resident of Effingham Count for three years
  3. Be enrolled in a college or tech school in Georgia

Application Requirements:

  1. Submit a historical paper outlining the importance of history in your education
  2. Submit a brief autobiographical sketch, reflecting goals and achievements
  3. Submit an official high school transcript
  4. Submit letter of recommendation from two adults (one of those must be from a counselor, teacher or principal).
  5. Submit an official letter of acceptance from the institution you plan to attend

Scholarship is for one year only. Consideration should be given to the applicant for another year if the recipient maintains an average of 2.0 or better, equivalent to a “C” or better and re-applies for the scholarship.

Amount: $500

Scholarship Deadline: April 15

Send Application to:

Beverly Poole

1002 Pine St.

Post Office Box 999

Springfield, GA31329

Phone: 754-2170

Email:

Historic Effingham Society, Inc.

Henry J. Wilkins Scholarship Fund

Application Form

All blanks must be completed. Use N/A for not applicable.

Personal Information

Name:
Last / First / Middle
Date of Birth: / // / Age: / Sex: / MaleFemale
Social Security Number: / -- / Phone Number: / -
Address:
Street or PO Box / City / Zip Code
Dependents:
Schools you are now attending:

Educational Information

What is your professional goal?

What is your course of study? Present academic level?

What is your current grade point average?

What school will you attend this fall?

Full Time Part Time

If part time, specifically what else will you be doing?

List in chronological order all schools attended beyond elementary school and any degrees or diplomas granted.

What honors (academics or others) have you received and when?

List any scholarships you have received.

What extracurricular activities are you involved in?

Please use the box below to provide additional information if you need to.

Confidential Information: Supply information as applicable. Confidential information will only be viewed by scholarship committee.

Who is responsible for your education expenses? Parents Self Other

Father Step-father Guardian (Check One)
Name:
Address:
Occupation:
Employer:
Mother Step-mother Guardian (Check One)
Name:
Address:
Occupation:
Employer:
Brothers’ Names / Sisters’ Names
Age: / Age:
Age: / Age:
Age: / Age:
Age: / Age:
Age: / Age:
Age: / Age:

Do you contribute to the support of any other person (s) financial obligations?

Is another member of your family attending college, technical school, nursing school or other post-high school training program? Yes No

If yes, please explain.

Within the last five (5) years, have there been any unusual circumstances in your family that have created extreme financial difficulty such as an extended illness, accidents, physical disability, parental loss of job due to layoffs or disability, etc? Yes No

If yes, please explain.

Other scholarship you will be receiving.

Student Certification

I declare that the information reported is true, correct and complete.

Signature ______Date ______